Clinical Practice Guidelines for Managing Frailty in Community-Dwelling Korean Elderly Adults in Primary Care Settings

被引：14

作者：

You, Hyo-Sun ^{[1
]}

Kwon, Yu-Jin ^{[2
]}

Kim, Sunyoung ^{[3
]}

Kim, Yang-Hyun ^{[4
]}

Kim, Ye-seul ^{[1
]}

Kim, Yonghwan ^{[1
]}

Roh, Yong-kyun ^{[5
]}

Park, Byoungjin ^{[2
]}

Park, Young Kyu ^{[6
]}

Park, Chang-Hae ^{[7
]}

Son, Joung Sik ^{[8
]}

Shin, Jinyoung ^{[9
]}

Shin, Hyun-Young ^{[10
]}

Oh, Bumjo ^{[11
]}

Lee, Jae-woo ^{[1
]}

Shim, Jae Yong ^{[12
]}

Won, Chang Won ^{[13
]}

Yoo, Ji Won ^{[14
]}

Lee, Sang-Hyun ^{[15
]}

Kang, Hee-Taik ^{[1
,16
]}

Lee, Duk Chul ^{[12
]}

机构：

[1] Chungbuk Natl Univ Hosp, Dept Family Med, Cheongju, South Korea

[2] Yonsei Univ, Yongin Severance Hosp, Dept Family Med, Coll Med, Yongin, South Korea

[3] Kyung Hee Univ, Coll Med, Dept Family Med, Seoul, South Korea

[4] Korea Univ, Dept Family Med, Coll Med, Seoul, South Korea

[5] Hallym Univ, Dept Family Med, Kangnam Sacred Heart Hosp, Seoul, South Korea

[6] Bundang Jesaeng Hosp, Dept Family Med, Seongnam, South Korea

[7] Haengbokhankajung Clin, Dept Family Med, Seoul, South Korea

[8] Korea Univ, Dept Family Med, Guro Hosp, Seoul, South Korea

[9] Konkuk Univ, Sch Med, Dept Family Med, Med Ctr, Seoul, South Korea

[10] Myongji Hosp, Dept Family Med, Goyang, South Korea

[11] SMG SNU Boramae Med Ctr, Dept Family Med, Seoul, South Korea

[12] Yonsei Univ, Severance Hosp, Dept Family Med, Coll Med, Seoul, South Korea

[13] Kyung Hee Univ, Coll Med, Elderly Frailty Res Ctr, Dept Family Med, Seoul, South Korea

[14] Univ Nevada, Sch Med, Las Vegas, NV 89154 USA

[15] Natl Hlth Insurance Corp, Dept Family Med, Ilsan Hosp, Goyang, South Korea

[16] Chungbuk Natl Univ, Dept Family Med, Coll Med, Cheongju, South Korea

来源：

KOREAN JOURNAL OF FAMILY MEDICINE | 2021年 / 42卷 / 06期

关键词：

Aging; Frailty; Primary Health Care; Clinical Practice Guidelines; VITAMIN-D SUPPLEMENTATION; COMPREHENSIVE GERIATRIC ASSESSMENT; OLDER-ADULTS; MUSCLE STRENGTH; MULTICOMPONENT EXERCISE; DISABILITY PREVENTION; COGNITIVE IMPAIRMENT; PHYSICAL PERFORMANCE; MORTALITY; PEOPLE;

D O I：

10.4082/kjfm.21.0162

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Aging has become a global problem, and the interest in healthy aging is growing. Healthy aging involves a focus on the maintenance of the function and well-being of elderly adults, rather than a specific disease. Thus, the management of frailty, which is an accumulated decline in function, is important for healthy aging. The adaptation method was used to develop clinical practice guidelines on frailty management that are applicable in primary care settings. The guidelines were developed in three phases: preparation (organization of committees and establishment of the scope of development), literature screening and evaluation (selection of the clinical practice guidelines to be adapted and evaluation of the guidelines using the Korean Appraisal of Guidelines for Research and Evaluation II tool), and confirmation of recommendations (three rounds of Delphi consensus and internal and external reviews). A total of 16 recommendations (five recommendations for diagnosis and assessment, 11 recommendations for intervention of frailty) were made through the guideline development process. These clinical practice guidelines provide overall guidance on the identification, evaluation, intervention, and monitoring of frailty, making them applicable in primary care settings. As aging and "healthy aging" become more and more important, these guidelines are also expected to increase in clinical usefulness.

引用

页码：413 / 424

页数：12

共 135 条

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